ALEXIS LOR

FOND DU LAC, WI
NPI1932575842
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: WI  235444-30)
Enumeration Date2015-08-14
Last Update Date2021-08-20
Business Address
ALEXIS LOR RN
23 W SCOTT ST
FOND DU LAC, WI 54935-2342
Phone number: 920-926-0101
Mailing Address
ALEXIS LOR RN
23 W SCOTT ST
FOND DU LAC, WI 54935
Phone number: